Sign Up Questionnaire

Name *

Email *

I am interested and enquiring in *

Goals (Strength, Bodyweight, Clothing Size, Competition, Photoshoot Etc) *

On a scale of 1-10, 10 being the highest. How determined are you and serious about reaching these goals? *

Current Body Weight (Fasted before food and water) *

Age *

Height *

Would you rather *

If Meal Plan, Food intolerances and foods you don't like *

Most enjoyed foods *

How often are you willing to train? *

How long have you been weight training for? *

Current injuries or past injuries? *

What time of day you train? After how many meals? *

Supplements you are currently using including PEDS ? *

Are you currently doing cardio? If so, what and how many mins per week? *

Do you own a Iwatch or Fitbit to track your steps? *

If so, what is your current daily step average?

Comprehensively explain your current diet *

How many hours per night do you sleep on average? *

How many coffees/energy drinks do you drink per day? *

Are you currently taking any medication? *

Do you have a current or previous hormone issue/imbalances? If so, have you had a recent blood test? *

Occupation, is your job physical? *

Where have you gone wrong in achieving these goals in the past? *

Your Mobile number (for Direct Debit system) *

Would you like payments debiting fortnightly or monthly? *

How did you hear about CEC or Who referred you? *

Current Condition Progress Photos

Other comments you feel id need to know?